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Illinois rates for HCPCS A5056

Ostomy pouch, drainable, with extended wear barrier attached, with filter, (one piece), each

Facilitymedian $4 · 10th–90th $3–$380%20%40%10th90th$4Professionalmedian $4 · 10th–90th $3–$70%20%10th90th$4$0.1$0.2$1.0$5.0$20.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $6.61
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.98 / $6.03
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $4.37 / $6.46
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $38.02 / $72.44
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $4.90 / $4.90
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.89 / $3.89 / $7.41
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $3.31 / $7.24
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $7.08 / $9.12
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $8.51 / $8.51
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $3.31 / $3.31
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.91 / $2.51 / $6.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $3.24 / $5.37